Organization
KENNEDY HEALTH SYSTEM ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD KOSS (VP AMBULATORY SERVICES)
(856) 566-5279
Entity
Organization
Contact information
Practice address
.3501 WEST CHAPEL AVENUE, CHERRY HILL, NJ 08022
(856) 667-6826
(856) 667-6907
Mailing address
1099 WHITE HORSE RD, VOORHEES, NJ 08043-4405
(856) 566-2092
(856) 566-5288
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
NJ15A111
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8344906
—
NJ
Enumeration date
11/13/2006
Last updated
08/22/2020
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